Individual provider Active NPI

Susan Marie Scott, M.A. CCC-A

  • Audiologist
  • Ormond Beach, FL
National Provider Identifier
1376745034
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY511 Issued in FL
Practice address
1050 W Granada Blvd
Ormond Beach, FL 32174-8154
Phone
(386) 255-4568
NPI assigned
Jun 4, 2007
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY511 FL Primary

Addresses

Primary practice location

1050 W Granada Blvd
Ormond Beach, FL 32174-8154

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120627000236 FL Practitioner - Qualified Audiologist 5193980001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

1050 W Granada Blvd
Suite 4
Ormond Beach, FL 32174-8155
Phone (386) 677-8808

1185 Dunlawton Ave
Suite 102
Port Orange, FL 32127-2906
Phone (386) 760-6601

160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone (863) 299-1251

3 Pine Cone Dr
Suite 105
Palm Coast, FL 32137-8684
Phone (386) 597-5842

Merit-based Incentive Payment System (MIPS)

Final score
70.4 of 100Reported as group
Quality
47.82
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AY511FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. CurrentSince Apr 20, 2024 Accepting new patients
Deborah R. Zarajczyk, Ma and Associates, PA Past Accepting new patients

Locations

1920 Don Wickham Dr
Ste 215
Clermont, FL 34711
Phone (352) 394-8808

302 W Central Ave
Lake Wales, FL 33853
Phone (863) 421-4558

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

1050 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (386) 677-8808

160 E Lake Howard Dr
Winter Haven, FL 33881
Phone (863) 299-1251

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1376745034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748154",
            "telephone_number": "386-255-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.